﻿@{
    ViewBag.Title = "financing";
    Layout = "~/Views/Shared/_Layout.cshtml";
}
<div class="breadcrumbs margin-bottom-40">
    <div class="container">
        <h3 class="pull-left blue">
            xx行业融资申请单</h3>
    </div>
</div>
<div class="container">
    <div class="row">
        <div class="span12">
            <h4>
                请填写您的信息</h4>
            <hr>
            <div class="alert alert-info">
                <b>提示</b>
                <ol>
                    <li>请仔细填写您的真实信息，我们将尽快与您取得联系；</li>
                    <li>如您希望了解更多业务，请致电：023-67111111 或邮件：financing@@@RooHui.Infrastructure.Configuration.SiteSettings.Host</li>
                </ol>
            </div>
        </div>
        <form action="/request/financing" method="post">
        <div class="form-horizontal ">
            <div class="control-group">
                <label class="control-label" for="Contact">
                    联系人真实姓名</label>
                <div class="controls">
                    <input class="input-xlarge" id="Contact" name="Contact" type="text" />
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Mobile">
                    手机号码</label>
                <div class="controls">
                    <input class="input-xlarge" id="txtMobile" name="Mobile" type="text" />
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Amount">
                    意向融资金额</label>
                <div class="controls">
                    <div class="input-append">
                        <input id="Amount" name="Amount" type="text" /><span class="add-on">万元</span>
                    </div>
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Area">
                    所在区域</label>
                <div class="controls">
                    <select id="Area" name="Area">
                        <option>云南</option>
                        <option>北京</option>
                    </select>
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Company">
                    企业名称</label>
                <div class="controls">
                    <input class="input-xlarge" id="Company" name="Company" type="text" />
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Period">
                    预期融资期限</label>
                <div class="controls">
                        <select id="Period">
                            <option value=""></option>
                            <option value="302">15 天以内</option>
                            <option value="303">15 - 30 天</option>
                            <option value="304">1 - 3 个月</option>
                            <option value="305">3 - 6 个月</option>
                            <option value="306">6 个月 - 1 年</option>
                            <option value="307">1 年以上</option>
                            <option value="308">其他期限</option>
                        </select>
                 </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="Remark">
                    备注说明</label>
                <div class="controls">
                    <textarea class="input-xlarge" cols="20" 
                     id="Remark" name="Remark" rows="2"></textarea>
                </div>
            </div>
            <div class="control-group">
                <label class="control-label">
                    验证码</label>
                <div class="controls">
                <input id="CaptchaInputText" name="CaptchaInputText" 
                    type="text" />
                </div>
            </div>
            <div class="control-group">
                <div class="controls">
                    <button type="submit" class="btn btn-primary" >
                        申请</button>
                </div>
            </div>
        </div>
        </form>
    </div>
</div>
@section scripts{
<script type="text/javascript">
    $(function () {
        $('#labfinancing').addClass('active');
    });
</script>
}